SURRENDER APPLICATION BY ACCUSED
BEFORE THE COURT OF SH...................... ASJ, DELHI/MM........................
In re: -
State................................................................................
versus
Shichand Kanodia (xxxx).............................................
FIR............................
U/S............................
PS............................
Surrender application on behalf of accused, xxxx 
Most respectfully showeth: -
1. That petitioner is a convict, convicted by the Hon’ble Court on ........................... 95 u/s 7, 13(2) PCA 1988 with an order to undergo 3 years RI with a fine of Rs. 1000. ID to undergo 3 month RI, of which the fine having been paid/ deposited on the date of sentencing in 1995.
2. That petitioner appealed against the order of conviction to the Hon’ble High Court of Delhi Vide Civil Appeal No........................... 95 in which sentence was suspended pending appeal which was heard on May 2002 confirming the sentence with modification of sentence to undergo one year RI, hence this application for surrender.
3. That judgment and order of confirming the sentence to undergo RI one year is enclosed along with the application.
PRAYER
It is most respectfully prayed that convict be taken into custody in terms of sentence passed by Hon’ble High Court to serveout one year RI. It is prayed accordingly.
Applicant
Date: 
Through Counsel
Place: